HealthLeaders
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  What is the approximate number of employees in your company? (select only one)


2. In lieu of a signature, HealthLeaders Media requires a unique identifier used only for subscription verification purposes. What is your month of birth?


3. Which of the following best describes your place of employment? (select only one)
Hospital Government, Education/Academic
Health System (IDN/IDS) Vendor/Supplier (Technology, Pharmaceutical, GPO)
Physician Org (MSO, IPA, PHO, Clinic) Professional Services (Consulting/Law/Financial Services)
Health Plan/Insurer (HMO/PPO/MCO/PBM) Other (please specify)
Ancillary, Allied Provider (Home Health, SNF, Lab, Rehab Post-Acute, etc.)


4. Which of the following titles most closely describes your position/title? (select only one)
SENIOR MANAGEMENT CLINICAL MANAGEMENT cont.
Administrator Dir. of Ambulatory Services
Chief Compliance Officer Dir. of Clinical Services
Chief Executive Officer Dir. of Emergency Services
Chief Financial Officer Dir. of Inpatient Services
Chief Information Officer Dir. of Intensive Care Services
Chief Medical Officer Dir. of Nursing
Chief of Staff Dir. of Rehabilitation Services
Chief Operations Officer Dir. of Surgical/Perioperative Services
Chief Purchasing Officer Medical Director
Executive Dir., Partner, Board Member VP Clinical Informatics
President VP Clinical Quality
Principal Owner VP Clinical Services
OPERATIONS MANAGEMENT VP Medical Affairs (Physician Mgmt /MD)
Asst. Administrator VP Nursing
Chief Counsel FINANCIAL MANAGEMENT
Dir. of Patient Safety VP/Dir. Finance
Dir. of Purchasing INFORMATION MANAGEMENT
Dir. of Quality Chief Medical Information Officer
Dir. of Safety Chief Technology Officer
VP/Dir. Compliance VP/Dir. Technology/MIS/IT
VP/Dir. Human Resources MARKETING MANAGEMENT
VP Dir. Operations/Administration VP/Dir. Marketing/Sales
CLINICAL MANAGEMENT VP/Dir. Media Relations
Chief of Cardiology MEMBER of CONGRESS
Chief of Neurology U.S. House Representative
Chief of Oncology U.S. Senator
Chief of Orthopedics OTHER
Chief of Radiology Other (please specify)
Chief Nursing Officer


5. Which best classifies your place of employment by the number of beds? (select only one)
1–50 beds 500–999 beds
51–199 beds 1,000+ beds
200–499 beds Not classified by number of beds


6. Which best classifies your place of employment by the number of sites within your organization? (select only one)
1–5 50+
6–20 Not classified by number of sites
21–49


7. Which best classifies your place of employment by the number of physicians? (select only one)
1–2 50–99
3–9 100+
10–25 Not classified by number of physicians
26–49


8. Which best classifies your place of employment by the number of enrollees? (select only one)
1–49,999 250,000–499,999
50,000–99,999 500,000+
100,000–249,999 Not classified by number of enrollees


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